RN Comprehensive Online Practice 2026 B Exam ||
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A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear
pink, reddened and epiglottis is edematous and cherry red
in appearance. Skin appears pale. Stridor noted upon
inspiration with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by
caregiver. Caregiver states child has a sore throat and
reports the child has "pain on swallowing" and denies
cough. Child is agitated and lean - Answers-Condition:
Epiglottis
,2|Page
Actions: Initiate droplet precautions and request a
prescription for IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions
and requesting a prescription for IV antibiotics. The child is
most likely experiencing epiglottis because of the clinical
manifestations of a high fever, inflammation and redness
of the throat, pale skin, stridor with inspiration, painful
swallowing, no cough, is sitting in tripod position, and
drooling. The nurse should monitor the child's temperature
and breath sounds.
A nurse is caring for a client who is on the spinal cord
injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury.
Skin is cool, pale, and dry to touch. Respirations easy and
unlabored. Lung sounds diminished in lower lobes.
Abdomen soft and nondistended with active bowel
sounds. Client passed a small amount of hard formed
stool this AM. Indwelling urinary catheter draining clear
,3|Page
yellow urine. Deep tendon reflexes (DTR) are biceps 1+,
triceps 1+, pa - Answers-The client is most likely
experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's
manifestations and determine that the client is most likely
experiencing manifestations of pneumonia and autonomic
dysreflexia. A client who has a cervical SCI is at risk for
respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath
sounds in the lower lobes bilaterally and a decrease in
oxygen saturation to less than 92% can indicate
pneumonia. The client's sudden increase in blood
pressure, bradycardia, flushing of the skin above the area
of the injury, headache, and blurred vision are
manifestations of autonomic dysreflexia, which can be a
life-threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
, 4|Page
Client reports loss of appetite, weight loss, and fatigue for
1 week. Reports abdominal pain, 6 on a scale from 0 to
10, for 2 days. Client is a perioperative nurse, returned 1
week ago from a 2-week mission trip to an
underdeveloped country
1200
Results of antibody studies obtained. Provider prescription
for antiviral medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau -
Answers-Hepatitis A: Client's risk from fecal-oral
transmission, laboratory results, and physical examination
findings
Hepatitis B: Antiviral treatment, laboratory results, client's
risk from bloodborne transmission, physical examination
findings